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253801 01/22/16 t� CITY OF CARMEL, INDIANA VENDOR: 354690 ONE CIVIC SQUARE COMMERCE-CENSUS,BUREAU OF CENSWECK AMOUNT: $...246,646.00" CARMEL, INDIANA 46032 CUSTOMER SERVICE CENTER RM 1579.3 CHECK NUMBER: 253801 4700 SILVER HILL ROAD CHECK DATE: 01/22/16 SUITLAND MA 20746 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4358500 011316 246,646.00 CENSUS & ELECTION FEE VOUCHER NO. WARRANT NO. VS uS 13uA&-Nu ALLOWED 20 I�-fTti= R E Cr✓ � ��' IN SUM OF $ C.LrJtF� F1N�2k►o�� 1�(aoo S► �u�� j-f-ic_c_ QO i� � Db—2 02a3 $ � 4W) q (.U - oo ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except i I I 20 1 4-a5l igr} re Cost distribution ledger classification if Title claim paid motor vehicle highway fund F,EHT OF COQ .4 UNITED STATES DEPARTMENT OF COMMERCE m Economics and Statistics Administration U.S..Census Bureau . Washington,DC-20233-0001 i January 1392016 Ms.Adrienne Keeling Submitted To `ECO PY City of Carmel 1 Civic.Square JAN 19 2016 Carmel; IN46032 Dear Ms. Keeling: Clerk Treasurer $ r This letter acknowledges receipt of your payment in the amount of$200 for a cost estimate for a f Partial.Special Census of the City of Carmel,Indiana. The estimated total cost of a Partial Special Census of the.City of Carmel,based on your, population estimate of 18,059 persons,and the specific census:blocks you have identified is $387;660: Of this amount, $246,646 is paid to the Census Bureau in advance and $141,014 is held by the City of Carmel to pay local persons who work on the Special Census. We are.enclosing two copies of the Memorandum of Agreement.(MOA) for the Special Census, Please read the MOA carefully, giving particular attention to the Terms and Conditions section, E which outlines the responsibilities of All the parties involved. . As,indicated in Terms and Conditions.b (iii),the Govermnental Unit.is directly responsible for recruiting and compensating all field personnel determined necessary by the Census Bureau for 'taking the Special Census. The cost of the Special Census could increase significantly if . sufficient applicants-are not provided due to the additional costs associated with recruiting additional applicants. It will be necessary to have an authorized local official sign And-complete both copies of the j MOA.in the section designated"FOR THE GOVERNMENTAL UNIT.".If you would like us to begin working on your Special Census, please forward payment in the amou 2SM- ,6=4(z made payable to Commerce-Census, and mail both signed.copies of the MOA via a traceable method to the following address: . f, i . U.S. Census Bureau j Finance Division ATTN: Receipts Team CENI-iQ FIN 2K106D 4600 Silver Hill Road ; Washington,, DC 20233 Note: By presenting your check, you authorize the conversion of your check into an electronic funds transfer. Your check is voided and destroyed by the Census Bureau and you will not. receive the original check back from your financial institution. If the electronic funds transfer i U S C E N S U S B U R E A U hewing You drake informed Decisions wwwxensus.gov f 3 Enclosed is a prefiiled Customer.Registration Form with the exception of your Tax Identification Number(TIN): In Section D2,Non-Federal Customers,:please insert your TIN: After: completion,please fax to the Table Maintenance,Team(TMT)as instructed on the form: If you,Have any questions or require further information;please contact the Special Census Branch at 301=763=1429 or fax 301:-763-4066. Sincerely, 'S�I�G(1r�S •o1a ewis-Willis + Acting Chief, Field Division Enclosure$ i i I I i 1 i i